Remote Optum Medical Coding Jobs in Tennessee (NOW HIRING)

Remote Inpatient Coding Quality Specialist

Join Our Team and Earn a $5,000 Sign-On Bonus!

Schedule: Monday-Friday, 40hrs per week. Business hours in your time zone.

Job Location: Remote

Job type: Non-Exempt

You'll be an individual contributor in this position. 

Your experience matters 

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier .

How you'll contribute 

TheInpatient Coding Quality Specialist will review accounts for accurate and appropriate coding and/or clinical documentation integrity (CDI) in accordance with the Company's policies and procedures. Participates in the identification of educational areas for the company through the review process.

A Inpatient Coding Quality Specialist who excels in this role:

• Perform assigned coding quality reviews for all coding professionals (e.g., Lifepoint employed coders and contract coders) in adherence to The American Health Information Management Association (AHIMA) Standards of Ethical Coding, The Association of Clinical Documentation Improvement Specialist (ACDIS) Code of Ethics, Official Coding Guidelines, Lifepoint Health policies and procedures, The International Classification of Disease tenth revision (ICD-10) rules and regulations, and the American Medical Association (AMA) Current Procedural Terminology (CPT) guidelines and rules for reporting.
• Identify trends and recommend appropriate education for the coding professionals based on the findings of the coding quality reviews.
• Prepare audit summaries for reports for distribution to facility CFOs and compliance.
• Monitor assigned coding quality review schedules and progress of reviews; propose modifications as necessary to improve audit effectiveness and efficiency of the schedule.
• Serve as a coding resource for coding questions that are assigned.
• Uses independent discretion/decision making while effectively working alone.
• Attends educational webinars, conference calls, other coding seminars, and participates in all formal and informal coding discussions. Complete all assigned compliance courses within assigned period.
• Maintain at least twenty (20) continuing education hours annually and maintain required credentials.
• Conforms to AHIMA's Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy and ensures patient/employee privacy and dignity by maintaining confidentiality with no infractions.
• Other related job tasks or responsibilities as assigned.

Why join us 

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: 

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage- tailored benefit options for part-time and PRN employees, and more.

• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.

• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.

• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).

• Professional Development: Ongoing learning and career advancement opportunities.

What we're looking for 

• Education: Healthcare related Associate's degree or any equivalent combination of education, experience, and training that provides the required knowledge, skills, and abilities; Bachelor's degree preferred.
• Experience: 
  • 5 years' experience, preferably in coding quality reviews and/or coding audits
  • 3years' specific experience in Inpatient hospital coding
  • Must be familiar with Diagnosis Related Groups (DRGs), Ambulatory Payment Categories APC's), the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative guidelines, Local and National Coverage Decisions and other medical necessity/compliance guidelines for billing and coding. 
• Certifications: Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), or Certified Inpatient Coder (CIC) highly preferred

Hourly Compensation: $27.79+ per hour. The final agreed upon compensation is based on individual education, qualifications, experience, and work location.

EEOC Statement

"Lifepoint Health an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

Employment Sponsorship Statement

"You must be work authorized in the United States without the need for employer sponsorship"

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.